<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" 
    "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"
      xmlns:h="http://java.sun.com/jsf/html"
      xmlns:f="http://java.sun.com/jsf/core"
      xmlns:c="http://java.sun.com/jstl/core"
      xmlns:o="http://openfaces.org/"
      xmlns:ui="http://java.sun.com/jsf/facelets">

<head>
</head>
<body>
	<ui:composition template="/templates/default.xhtml">
	 	<ui:define name="title">OpenHDS - Residency</ui:define>
	
		<ui:param name="crud" value="#{residencyCrud}" />
		
		<ui:define name="listing">
			<ui:include src="list.xhtml" />
		</ui:define>
		<ui:define name="display">
		
			<h:outputText value="#{navController.breadcrumbTrail}" />
		
	        <h1>#{msg.residencyCreate}</h1>
	        <h:messages id="errors" globalOnly="true"/>
	        <h:form id="form">
	            <h:panelGrid columns="4">
	            	    <h:outputText value="#{msg.individualId}:"/>
	            	    <h:outputText />
	                    <h:inputText styleClass="individual" autocomplete="off" id="indiv" value="#{residencyCrud.item.individual}" converter="#{individualExtIdConverter}" />
	            	    <h:message for="indiv" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>

                        <h:outputText value="#{msg.locationId}:"/>
                        <h:outputText />
                        <h:inputText styleClass="location" autocomplete="off" id="loc" value="#{residencyCrud.item.location}" converter="#{locationExtIdConverter}" />
                        <h:message for="loc" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>

                        <h:outputText value="#{msg.residencyStartDate} (#{siteProperties.dateFormat})"/>
                        <h:outputText />
                        <o:dateChooser id="startDate" value="#{residencyCrud.startDate}" pattern="#{siteProperties.dateFormat}" />
                        <h:message for="startDate" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>

	                    <h:outputText value="#{msg.residencyStartType}:"/>
	                    <img class="clickable" onclick="O$('popupWindowForResidencyStartTypeCodes').showCentered();" src="#{request.contextPath}/resources/images/question.png" />
	                    <h:inputText id="startType" value="#{residencyCrud.item.startType}" converter="#{residencyStartTypeCodesConverter}" />
	                    <h:message for="startType" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>

                        <h:outputText value="#{msg.residencyEndDate}:"/>
                        <h:outputText />
						<o:dateChooser id="endDate" value="#{residencyCrud.item.endDate}" pattern="#{siteProperties.dateFormat}" disabled="true" /> 
						<h:message for="endDate" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>
						
	                    <h:outputText value="#{msg.residencyEndType}:"/>
	                    <img class="clickable" onclick="O$('popupWindowForResidencyEndTypeCodes').showCentered();" src="#{request.contextPath}/resources/images/question.png" />
	                    <h:inputText id="endType1" value="#{residencyCrud.item.endType}" converter="#{residencyEndTypeCodesConverter}" disabled="true"/>
	                    <h:message for="endType1" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>
						
						<h:outputText value="#{msg.fieldWorkerId}:"/>
						<h:outputText />
						<h:inputText styleClass="collectedBy" autocomplete="off" id="collectedBy" value="#{residencyCrud.item.collectedBy}" converter="#{fieldWorkerExtIdConverter}" />
						<h:message for="collectedBy" errorClass="error" errorStyle="color: red" infoStyle="color: green"/>
                    </h:panelGrid>
                    <script>
                    	document.getElementById('form:indiv').focus();
                    </script>
                    <br />
                    <h:commandButton action="#{residencyCrud.create}" value="#{msg.lblCreate}"/>
                </h:form>
		</ui:define>
	</ui:composition>
  </body>
</html>
